The biggest issues:
- Paying for such a system amounts to a $25 billion tax increase for the state, nearly doubling the size of Colorado’s current $27 billion budget.
- Being the first state to embark on an untested system leaves open myriad questions about costs, coverage, access to care, accountability, regulation and transparency.
- Coloradans would lose their existing coverage, with no guarantee that the board of trustees overseeing the plan would replicate their former coverage.
- Amendment 69 would require the Colorado General Assembly to repeal or amend the Workers’ Compensation Act and other laws concerning the provision of medical care for workers who suffer work-related injuries and illnesses and the payment of premiums for medical benefits.
- The plan calls for a 3.33 percent payroll tax increase for employees and 6.67 percent increase for employers, as well as a 10 percent "health care premium tax” on non-payroll income. That puts a tremendous burden on small businesses and sole proprietorships.
- The 21-member board will be elected by “members of the plan,” and there are no provisions about whether the system would be regulated by, or accountable to, the state, elected officials or the people.
- Private insurance and Medicaid would go away. The Colorado insurance industry would undergo a substantial loss of jobs and income in its health care and workers’ compensation sectors.